IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v25y2016i1-2p80-91.html
   My bibliography  Save this article

Perspectives of clinical handover processes: a multi‐site survey across different health professionals

Author

Listed:
  • Elizabeth Manias
  • Fiona Geddes
  • Bernadette Watson
  • Dorothy Jones
  • Phillip Della

Abstract

Aims and objectives To examine the perspectives of health professionals of different disciplines about clinical handover. Background Ineffective handovers can cause major problems relating to the lack of delivery of appropriate care. Design A prospective, cross‐sectional design was conducted using a survey about clinical handover practices. Methods Health professionals employed in public metropolitan hospitals, public rural hospitals and community health centres were involved. The sample comprised doctors, nurses and allied health professionals, including physiotherapists, social workers, pharmacists, dieticians and midwives employed in Western Australia, New South Wales, South Australia and the Australian Capital Territory. The survey sought information about health professionals' experiences about clinical handover; their perceived effectiveness of clinical handover; involvement of patients and family members; health professionals' ability to confirm understanding and to clarify clinical information; role modelling behaviour of health professionals; training needs; adverse events encountered and possibilities for improvements. Results In all, 707 health professionals participated (response rate = 14%). Represented professions were nursing (60%), medicine (22%) and allied health (18%). Many health professionals reported being aware of adverse events where they noticed poor handover was a significant cause. Differences existed between health professions in terms of how effectively they gave handover, perceived effectiveness of bedside handover vs. nonbedside handover, patient and family involvement in handover, respondents' confirmation of understanding handover from their perspective, their observation of senior health professionals giving feedback to junior health professionals, awareness of adverse events and severity of adverse events relating to poor handovers. Conclusions Complex barriers impeded the conduct of effective handovers, including insufficient opportunities for training, lack of role modelling, and lack of confidence and understanding about handover processes. Relevance to clinical practice Greater focus should be placed on creating opportunities for senior health professionals to act as role models. Sophisticated approaches should be implemented in training and education.

Suggested Citation

  • Elizabeth Manias & Fiona Geddes & Bernadette Watson & Dorothy Jones & Phillip Della, 2016. "Perspectives of clinical handover processes: a multi‐site survey across different health professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 80-91, January.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:1-2:p:80-91
    DOI: 10.1111/jocn.12986
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.12986
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.12986?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Thompson, Andrew G.H., 2007. "The meaning of patient involvement and participation in health care consultations: A taxonomy," Social Science & Medicine, Elsevier, vol. 64(6), pages 1297-1310, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Karnieli-Miller, Orit & Eisikovits, Zvi, 2009. "Physician as partner or salesman? Shared decision-making in real-time encounters," Social Science & Medicine, Elsevier, vol. 69(1), pages 1-8, July.
    2. Lopes, Edilene & Carter, Drew & Street, Jackie, 2015. "Power relations and contrasting conceptions of evidence in patient-involvement processes used to inform health funding decisions in Australia," Social Science & Medicine, Elsevier, vol. 135(C), pages 84-91.
    3. Stacey, Clare Louise & Henderson, Stuart & MacArthur, Kelly R. & Dohan, Daniel, 2009. "Demanding patient or demanding encounter?: A case study of a cancer clinic," Social Science & Medicine, Elsevier, vol. 69(5), pages 729-737, September.
    4. Mendick, Nicola & Young, Bridget & Holcombe, Christopher & Salmon, Peter, 2010. "The ethics of responsibility and ownership in decision-making about treatment for breast cancer: Triangulation of consultation with patient and surgeon perspectives," Social Science & Medicine, Elsevier, vol. 70(12), pages 1904-1911, June.
    5. Lauren McCormack & Pamela Williams-Piehota & Carla Bann, 2009. "Behind Closed Doors: What Happens when Patients and Providers Talk about Prostate-Specific Antigen Screening?," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 2(3), pages 191-201, September.
    6. Tone Andersen‐Hollekim & Marit Solbjør & Marit Kvangarsnes & Torstein Hole & Bodil J. Landstad, 2020. "Narratives of patient participation in haemodialysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2293-2305, July.
    7. Lucas, Henry, 2015. "New technology and illness self-management: Potential relevance for resource-poor populations in Asia," Social Science & Medicine, Elsevier, vol. 145(C), pages 145-153.
    8. Jim Broch Skarli, 2021. "Creating or Destructing Value in Use? Handling Cognitive Impairments in Co-Creation with Serious and Chronically Ill Users," Administrative Sciences, MDPI, vol. 11(1), pages 1-17, February.
    9. Gill Hubbard & Nicola Illingworth & Neneh Rowa‐Dewar & Liz Forbat & Nora Kearney, 2010. "Treatment decision‐making in cancer care: the role of the carer," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 2023-2031, July.
    10. Dagrunn N Dyrstad & Kristin A Laugaland & Marianne Storm, 2015. "An observational study of older patients’ participation in hospital admission and discharge – exploring patient and next of kin perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(11-12), pages 1693-1706, June.
    11. Marit By Rise & Aslak Steinsbekk, 2016. "Long Term Effect on Professionals’ Knowledge, Practice and Attitudes towards User Involvement Four Years after Implementing an Organisational Development Plan: A Controlled Study," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-18, March.
    12. Greenfield, Geva & Pliskin, Joseph S. & Feder-Bubis, Paula & Wientroub, Shlomo & Davidovitch, Nadav, 2012. "Patient–physician relationships in second opinion encounters – The physicians’ perspective," Social Science & Medicine, Elsevier, vol. 75(7), pages 1202-1212.
    13. Ingrid Nyborg & Lars J Danbolt & Marit Kirkevold, 2017. "User participation is a family matter: A multiple case study of the experiences of older, hospitalised people and their relatives," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4353-4363, December.
    14. Greer, Scott L. & Stewart, Ellen A. & Wilson, Iain & Donnelly, Peter D., 2014. "Victory for volunteerism? Scottish health board elections and participation in the welfare state," Social Science & Medicine, Elsevier, vol. 106(C), pages 221-228.
    15. Lehoux, P. & Daudelin, G. & Abelson, J., 2012. "The unbearable lightness of citizens within public deliberation processes," Social Science & Medicine, Elsevier, vol. 74(12), pages 1843-1850.
    16. Mamdooh Alzyood & Debra Jackson & Joanne Brooke & Helen Aveyard, 2018. "An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1329-1345, April.
    17. Fumagalli, Lia Paola & Radaelli, Giovanni & Lettieri, Emanuele & Bertele’, Paolo & Masella, Cristina, 2015. "Patient Empowerment and its neighbours: Clarifying the boundaries and their mutual relationships," Health Policy, Elsevier, vol. 119(3), pages 384-394.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:25:y:2016:i:1-2:p:80-91. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.